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[小儿心脏大血管内径的扇形超声心动图测定]

[Sector echocardiographic determination of the diameter of the large arteries of the heart in children].

作者信息

Hofstetter R, Engelhardt W, Prünte K, Röther A, von Bernuth G

出版信息

Z Kardiol. 1987 Jan;76(1):38-43.

PMID:3564616
Abstract

We determined the end-diastolic and end-systolic diameters of the aortic root, ascending aorta, aortic arch, pulmonary trunk, and right pulmonary artery in infants and children with congenital heart disease by means of two-dimensional echocardiography. These measurements were compared to those obtained by angiocardiography in the same patients. We found an excellent correlation (r = 0.94 to 0.99) with a slope near to 1. In a second study, we measured echocardiographically the end-systolic diameters of the aortic root, ascending aorta, aortic arch, pulmonary trunk and right pulmonary artery in 87 healthy newborns, infants, children and adolescents and correlated these measurements with the body weight. We found a nonlinear correlation with the diameters being best described as a function of the natural logarithm of the body weight. We determined normal ranges containing 90% of all future normal observations with a confidence of 90%. These normal ranges may serve as basis for comparison of measurements of the same diameters in children with heart disease.

摘要

我们通过二维超声心动图测定了先天性心脏病婴幼儿和儿童的主动脉根部、升主动脉、主动脉弓、肺动脉主干及右肺动脉的舒张末期和收缩末期内径。将这些测量结果与同一患者通过心血管造影获得的结果进行比较。我们发现两者具有极佳的相关性(r = 0.94至0.99),斜率接近1。在第二项研究中,我们通过超声心动图测量了87名健康新生儿、婴幼儿、儿童及青少年的主动脉根部、升主动脉、主动脉弓、肺动脉主干及右肺动脉的收缩末期内径,并将这些测量结果与体重相关联。我们发现这些内径与体重呈非线性相关,最好将其描述为体重自然对数的函数。我们确定了包含90%未来正常观测值且置信度为90%的正常范围。这些正常范围可作为比较心脏病患儿相同内径测量值的基础。

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